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• National Osteoporosis Society. The Falls and Fractures Alliance. Available at: http://www.nos.org.uk/page.aspx?pid=1247
. Accessed July 2013. Establishing national alliances including professional organizations, patient societies, policy groups (where possible), and private sectors partners is supporting FLS implementation in several countries including Canada, New Zealand, and the United States. In countries where the FLS model is yet to be broadly adopted, efforts to establish a national fragility fracture alliance are worthy of consideration.
• Royal College of Physicians. Fracture Liaison Service Database (FLS-DB). Available at http://www.rcplondon.ac.uk/projects/fracture-liaison-service-database-fls-db
. Accessed July 2013. Whilst in the early stages of development, this attempt to electronically generate ongoing audit data on standards of secondary fracture prevention for non-hip fragility fracture patients is potentially very powerful. Ongoing audit, effectively in real-time, of hip fracture care by the National Hip Fracture Database (NHFD) has transformed care of hip fracture patients in the UK and enabled payment for quality incentives to be made at the individual patient level. A similar platform for non-hip fragility fracture patients could be transformative for these ‘signal’ fracture patients.